KARA BETH WESEBAUM LCSW
NPI 1114410073
Social Worker - Clinical in Davenport, WA

Q: What is Kara Wesebaum's NPI number?

The NPI number for Kara Wesebaum is 1114410073. It was assigned to this individual provider in the NPPES registry on June 14, 2018. The provider is also known as Kara Beth Vergo Lcsw.

Q: What is Kara Wesebaum's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kara Wesebaum was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2018PECOS EnrolledAccepts Medicare Assignment

10 NICHOLLS ST, DAVENPORT, WA 99122(509) 725-7501(509) 725-7504 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2021, Jun 4, 2021, Jun 14, 2018 (3 updates tracked since 2018).

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About Kara Beth Wesebaum Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KARA BETH WESEBAUM LCSW (NPI 1114410073) is an individual clinical provider in Davenport, Washington, licensed in Washington (LW60455646) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114410073

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKARA BETH WESEBAUMCredential: LCSW

Location Address10 NICHOLLS STDavenport, WA 99122-9729

Mailing Address421 Connie Ray AveMedical Lake, WA 99022-8865 · (509) 499-9071 · Fax (509) 725-7504

Phone(509) 725-7501

Fax(509) 725-7504

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 14, 2018

Last NPPES UpdateJune 8, 20263 updates tracked since enumeration

NPPES CertifiedJune 8, 2026

✔ NPI 1114410073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in WA · LW60455646✔ Licensed in AK · 173466

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X

10 NICHOLLS ST, Davenport, WA 99122

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Other Names 1

Former Name (1)Kara Beth Vergo Lcsw

Other Identifiers 1

Medicaid1020986AK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kara Beth Wesebaum Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103368006

PECOS Enrollment IDI20240606003118

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $57.27 – $172.80

Typical copayment $0.00 (range $14.31 – $43.20)

Most-billed visit code NA

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINCOLN COUNTY HOSPITAL DISTRICT 3

General Acute Care Hospital